Case Study of a Patient with Callosal Disconnection Syndrome Secondary to an ACA Infarction

전대뇌동맥 경색으로 인한 뇌량 분리 증후군 환자의 치험 1례

  • Jung, Hyun-Jung (Deptartment of Oriental Internal Medicine, Hospital of Oriental Medicine, Dongguk University) ;
  • Hwang, Joo-Won (Deptartment of Oriental Internal Medicine, Hospital of Oriental Medicine, Dongguk University) ;
  • Jo, Eun-Young (Deptartment of Oriental Internal Medicine, Hospital of Oriental Medicine, Dongguk University) ;
  • Choi, Dong-Jun (Deptartment of Oriental Internal Medicine, Hospital of Oriental Medicine, Dongguk University) ;
  • Han, Chang-Ho (Deptartment of Oriental Internal Medicine, Hospital of Oriental Medicine, Dongguk University) ;
  • Jung, Seung-Hyun (Deptartment of Oriental Internal Medicine, Hospital of Oriental Medicine, Dongguk University) ;
  • Sin, Gil-Jo (Deptartment of Oriental Internal Medicine, Hospital of Oriental Medicine, Dongguk University) ;
  • Lee, Won-Chul (Deptartment of Oriental Internal Medicine, Hospital of Oriental Medicine, Dongguk University)
  • 정현정 (동국대학교 부속 한방병원내과) ;
  • 황주원 (동국대학교 부속 한방병원내과) ;
  • 조은영 (동국대학교 부속 한방병원내과) ;
  • 최동준 (동국대학교 부속 한방병원내과) ;
  • 한창호 (동국대학교 부속 한방병원내과) ;
  • 정승현 (동국대학교 부속 한방병원내과) ;
  • 신길조 (동국대학교 부속 한방병원내과) ;
  • 이원철 (동국대학교 부속 한방병원내과)
  • Published : 2006.09.30

Abstract

A callosal disconnection syndrome results in the functional independence of each hemisphere caused by ACA infarction, head injury or callosal operation for epilepsy. Clinical features are characterized by left unilateral tactile anomia, left unilateral agraphia, left unilateral apraxia, difficulty in copying drawings, dyscalculia and alien hand syndrome. Taeumchowe-tang(太陰調胃湯) is used to treat Taeumin(太陰人) Wewansuhanpyohanbyung(胃脘受寒表寒病). A 47 year-old man, following callosal infarction, was detected on MRI with left agraphia, dyscalculia and alien hand syndrome, but no left ideomotor apraxia or left apraxia. He was treated with Taeumchowe-tang. Significant improvement of clinical symptoms was seen, so it is here reported.

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